“…In young lesions, the mucin collection is separated from the epidermis by stroma, but in older lesions, the mucin can show a subepidermal location and, in most cases, thinning of the epidermis . However, reviews of digital myxoid cysts and the relevant chapters in most dermatopathology books mention some other epidermal changes, such as hyperkeratosis, acanthosis, ulceration or atrophy …”